Provider Demographics
NPI:1114610110
Name:LEVINSON, AARON (LCSW, DSW, MBA)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:LEVINSON
Suffix:
Gender:M
Credentials:LCSW, DSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 E BALBOA DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-4005
Mailing Address - Country:US
Mailing Address - Phone:602-820-1125
Mailing Address - Fax:
Practice Address - Street 1:2026 E BALBOA DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4005
Practice Address - Country:US
Practice Address - Phone:602-820-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-213621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical